NPIMap

Organization Active NPI

Infinity Care Services, Inc.

  • Home Health Agency
  • Stockton, CA
National Provider Identifier
1104057991
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INFINITY CARE SERVICES, INC.
Practice address
1325 N Center St Ste 2a
Stockton, CA 95202-1020
Phone
(800) 294-1461
Fax
(800) 295-3161
NPI assigned
Jul 28, 2009
Last updated
Nov 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Grace Darmawah Rowe
Title
Administrator
Phone
(800) 294-1461

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Community Based Hospice Care Agency 251G00000X NU

Addresses

Primary practice location

1325 N Center St Ste 2a
Stockton, CA 95202-1020

Mailing address

1325 N Center St Ste 2a
Stockton, CA 95202-1020
Phone (800) 294-1461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20091113000022 CA Part A Provider - Home Health Agency 5890833750 Practice locations: Stockton, CA
O20140116001075 CA Part A Provider - Hospice 5890833750 Practice locations: Stockton, CA
O20201117000563 CA Part B Supplier - Home Infusion Therapy Supplier 5890833750 Practice locations: Stockton, CA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1104057991. Details of each certification follow.

Home health agency certification: CCN 059217

Legal name
INFINITY CARE SERVICES, INC.
Doing business as
INFINITY CARE SERVICES HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 27, 2010
Last certification
Aug 23, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 9, 2009 in CA
Enrollment address
1325N Center St 2a
Stockton, CA 95202-1020
HHA Branch

Hospice certification: CCN 751636

Legal name
INFINITY CARE SERVICES, INC.
Doing business as
INFINITY CARE SERVICES - HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 27, 2015
Last certification
Aug 23, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 9, 2009 in CA
Enrollment address
1325N Center St 2B
Stockton, CA 95202-1020

Care Compare: Home health agency

Medicare Care Compare
Listed as
Infinity Care Services, IncCCN 059217 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Aug 27, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Infinity Care Services HospiceCCN 751636 · All quality measures
Ownership
For-Profit
Certified
Apr 27, 2015
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1104762Infinity Care Services, Inc1325 N Center St Ste 2a, Stockton, CA 95202Certificate of waiverSep 9, 2027
05D2091112Infinity Care Services-Hospice1325 N Center St Ste 2B, Stockton, CA 95202Certificate of waiverFeb 4, 2027

National Provider Directory

National Provider Directory

Locations

1325 N Center St
#2A
Stockton, CA 95202
Phone (209) 264-0300

1325 N Center St
#2B
Stockton, CA 95202
Phone (800) 294-1461

1325 N Center St
Ste 2A
Stockton, CA 95202
Phone (800) 294-1461

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Grace Rowe Individual Corporate Director Jul 1, 2009
W-2 Managing EmployeeAdministrator Jul 1, 2009
Corporate OfficerAdministrator, VP Nov 6, 2013
W-2 Managing EmployeeAdministrator, VP Nov 6, 2013
Leslie a Hall Individual W-2 Managing EmployeeDirector of Patient Care Service Jan 1, 2013
Corporate DirectorDirector of Patient Care Service Nov 6, 2013
W-2 Managing EmployeeDirector of Patient Care Service Nov 6, 2013
Gary Duncan Individual 5% Or Greater Direct Ownership InterestOwner Jul 1, 2013 100%
Corporate Director Jul 1, 2009 100%
5% Or Greater Direct Ownership Interest Nov 6, 2013 100%
Corporate OfficerCeo, President Nov 6, 2013 100%
W-2 Managing EmployeeCeo, President Nov 6, 2013 100%

Practitioners & affiliated clinicians

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1104057991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N CENTER ST STE 2A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021020",
            "telephone_number": "800-294-1461",
            "fax_number": "800-295-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N CENTER ST STE 2A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021020",
            "telephone_number": "800-294-1461",
            "fax_number": "800-295-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "DARMAWAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "800-294-1461"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.